Psych

Question 1

Use silence

Answer 1

utilize the absence of verbal communication to allow patient to reflect and gather thoughts. Allows them time to think about the question.

Question 2

Acceptance:

Answer 2

give indication of reception. “Yes, I follow what you said.” Nodding

Question 3

Give recognition:

Answer 3

acknowledge, indicate awareness. “Good morning, Mr. S. I noticed that you combed your hair today.”

Question 4

Give broad opening

Answer 4

allow the patient to take the lead in conversation. “Is there something you would like to talk about? Where would you like to begin?”

Question 5

Offer self

Answer 5

make one’s self available. “I’ll sit with you awhile. I’m interested in your comfort.”

Question 6

Offer general leads

Answer 6

give encouragement to continue. “Go on, tell me about it.”

Question 7

Place the event in time or sequence

Answer 7

clarify the relationship of events in time. “What seemed to lead up to …?” “Was this before or after?”

Question 8

Make observations

Answer 8

verbalize what is perceived. “You appear tense.” “Are you uncomfortable when you …?”

Question 9

Encourage description of perceptions:

Answer 9

ask a patient to verbalize what he perceives. “Tell me when you feel anxious.” What does the voice seem to be saying?”

Question 10

Encourage comparisons

Answer 10

ask what similarities and differences are noted. “Was this something like…? Have you had similar experiences?”

Question 11

Restate

Answer 11

direct back to the patient questions, feelings and ideas. Patient: Do you think I should tell the doctor?” Nurse: “What do you think you should do?”

Question 12

Focus

Answer 12

concentrate on a single point. “This point seems worth looking at more closely.”

Question 13

Explore

Answer 13

delving further into a subject or idea. “Tell me about that. Would you describe more fully?”

Question 14

Clarify

Answer 14

seek to make clear that which in not meaningful or which is vague. “I’m not sure that I follow. What is the main point of what you have said?”

Question 15

Validate

Answer 15

a. search for the mutual understanding, for accord in the meaning of words. “Are you using this room?” “Your mother is not here: I am a nurse.”

Question 16

Verbalize the implied

Answer 16

voice what the patient has hinted or suggested. Patient: “I can’t talk to anyone; it’s a waste of time.” Nurse: “is it your feeling that no one understands?”

Question 17

Encourage evaluation

Answer 17

ask the patient to appraise the quality of his experience. “What are your feelings in regard to ….?” “Does this contribute to your discomfort?”

Question 18

Collaborate

Answer 18

offer to share, to strive, to work together with the patient for his benefit. “Perhaps you and I can discuss and discover what produces your anxiety.”

Question 19

Summarize

Answer 19

organize and sum up that which has gone before. “Have I got this straight?” “During the past hour you and I have discussed…”.

Question 20

Encourage information of a plan of action:

Answer 20

ask the patient to consider kinds of behavior likely to be appropriate in future situation. “What could you do to let out your anger harmlessly?” “Next time this comes up, what might you do to handle it?”

Question 21

Histrionic

Answer 21

Personality Disorder: have excessive emotionality, and attention-seeking behaviors

Question 22

Paranoid

Answer 22

Personality Disorder: demonstrate a pattern of distrust and suspiciousness and interprets others motives as threatening

Question 23

Narcissistic

Answer 23

Personality Disorder: is characterized by grandiosity and a need for constant admiration from others
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Question 24

Antisocial

Answer 24

Personality Disorder: tends to be insensitive to others, engages in abusive behaviors and does not have a sense of remorse
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Question 25

Transference

Answer 25

is a positive or negative feeling associated with a significant person in the client's past that are unconsciously assigned to another 

Question 26

Splitting

Answer 26

is a defense mechanism commonly seen in a client with personality disorder in which the world is perceived as all good or all bad 

Question 27

Counterttransference

Answer 27

is a phenomenon where the nurse shifts feelings assigned to someone in her past to the patient 

Question 28

Resistance

Answer 28

is the client's refusal to submit himself to the care of the nurse 

Question 29

Pseudoparkinsonism

Answer 29

is a side effect of antipsychotic drugs characterized by mask-like facies, pill rolling tremors, muscle rigidity 

Question 30

Tardive dyskinesia

Answer 30

is manifested by lip smacking, wormlike movement of the tongue 

Question 31

Akinesia

Answer 31

is characterized by feeling of weakness and muscle fatigue | 

Question 32

Dystonia

Answer 32

is manifested by torticollis and rolling back of the eyes | 

Question 33

Somatoform disorders

Answer 33

are anxiety related disorders characterized by presence of physical symptoms without demonstrable organic basis 

Question 34

Projection

Answer 34

is a defense mechanism where one attributes ones feelings and inadequacies to others to reduce anxiety 

Question 35

Compensation?

Answer 35

Putting fourth extra effort to achieve in areas where one has a real or imagined deficiency.

Question 36

Conversion

Answer 36

Expression of emotional conflicts through physical symptoms.

Question 37

Denial

Answer 37

Disowning consciously intolerable thoughts and impulses

Question 38

Displacement

Answer 38

Feelings toward one person are directed to another who is less threatening, satisfying an impulse with a substitute object.

Question 39

Dissociation?

Answer 39

Blocking of an anxiety-provoking event or period of time from the conscious mind.

Question 40

Fantasy?

Answer 40

Gratification by imaginary achievements and wishful thinking.

Question 41

Fixation?

Answer 41

Never advancing to the next level of emotional development and organization; persistence in later life of interest and behavior patterns appropriate to an earlier age.

Question 42

Identification?

Answer 42

Unconscious attempt to change oneself to resemble an admired person.

Question 43

Insulation?

Answer 43

Withdrawing into passivity and becoming inaccessible so as to avoid further threatening situations.

Question 44

Intellectualization?

Answer 44

Excessive reasoning to avoid feelings; the thinking is disconnected from feelings, and situations are dealt with a cognitive level.

Question 45

Introjection?

Answer 45

Type of identification in which the individual incorporates the traits or values of another into themselves.

Question 46

Isolation?

Answer 46

Response in which a person blocks feelings associated with an unpleasant experience.

Question 47

Projection?

Answer 47

Transferring one's internal feelings, thought, and unacceptable ideas and traits to someone else.

Question 48

Rationalization?

Answer 48

Attempt to make unacceptable feelings and behaviors accepted by justifying the behavior.

Question 49

Reaction Formation?

Answer 49

Developing conscious attitudes and behaviors and acting out behaviors opposite to what one really feels .

Question 50

Regression?

Answer 50

Returning to an earlier development stage to expression impulse to deal with anxiety.

Question 51

Repression?

Answer 51

Unconscious process in which the client blocks undesirable and unacceptable thoughts from conscious expression.

Question 52

Sublimation?

Answer 52

Replace of an unacceptable need, attitude, or emotion with one more socially acceptable.

Question 53

Substitution?

Answer 53

Replacement of a values unacceptable object with an object more acceptable to the ego.

Question 54

Suppression?

Answer 54

Conscious, deliberate forgetting of unacceptable or painful thoughts, ideas, and feelings.

Question 55

Symbolization?

Answer 55

Conscious use of an idea or object to represent another actual event or object; often, the meaning is unclear because the symbol may be representative of something unconscious.

Question 56

Undoing?

Answer 56

Engaging in behavior considered to be the opposite of a previous unacceptable behavior, thought, or feeling.